腹腔镜早期子宫内膜癌手术临床疗效分析

Clinical Analysis of Staging Laparoscopic Surgery for Early-stage Endometrial Cancer

目的:探讨腹腔镜下早期子宫内膜癌分期手术与开腹手术的临床疗效的差异。方法:回顾性研究2008年1月~2012年10月在我院行子宫内膜癌分期手术的84例患者临床资料,手术病理分期为IA^II期。其中腹腔镜分期手术40例,开腹分期手术44例,比较2组手术时间、术中出血量、淋巴结清扫数目、术后胃肠功能恢复时间、并发症、术后住院时间。结果:腹腔镜组手术时间长于开腹组,两者相比具有统计学意义(P<0.05);腹腔镜组术中出血量显著少于开腹组(P<0.05);淋巴结清扫总数显著多于开腹组(P<0.05);腹腔镜组在排气时间、尿管拔除时间、术后出院时间均显著早于开腹组(P<0.05);两者并发症方面无统计学差异(P>0.05)。结论:腹腔镜分期手术较开腹手术更具微创价值,是治疗早期子宫内膜癌稳妥可行的选择。

Objective： To compare outcomes between laparoscopic staging surgery and traditional laparotomy for the treatment of early-stage endometrial cancer.Methods： We retrospectively analyzed the medical records of 84 patients with endometrial cancer of stage IA to II who received staging surgery form January 2008 to October 2012..Laparoscopy was carried out in 40 of the patients and the other 44 patients received laparotomy.The operation time,intraoperative blood loss,mounts of lymph node removed,postoperative recovery time of gastrointestinal function,complications and postoperative hospital stay were compared.Results： The laparoscopy group had longer operation time than laparotomy group and there is a significant difference between the two groups（P0.05）;the laparoscopy group had less intraoperative blood loss,more removed lymph nodes,quicker post-operative rehabilitation of the digestion tract,shorter urinary drainage time and shorter postoperative hospital stay than the laparotomy group（P0.05）.No significant difference was observed in the complications（P0.05）.Conclusion： Laparoscopic surgery was superior to the open surgery and it can be considered a good therapeutic option for early-stage endometrial cancer.